GUZMAN, KATHLEEN
NPI: 1669031183
· SECAUCUS, NJ 07094
· Social Worker
· NPI assigned 06/08/2019
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
91% of spending on code H0036 with only 2 total codes billed. Highly concentrated billing profile.
$1.71M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
256 |
$51K |
| 2022 |
787 |
$152K |
| 2023 |
2,296 |
$451K |
| 2024 |
5,065 |
$1.05M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
7,444 |
2,395 |
$1.55M |
| H2014 |
Skills training and development, per 15 minutes |
960 |
266 |
$159K |